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NPI Code Detail

MEDICARE: CECIA ELIZABETH ROMERO AMAYA LPN

MEDICARE: CECIA ELIZABETH ROMERO AMAYA LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse349752-01NY

General Provider Information

NPI Number : 1538988217
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECIA ELIZABETH ROMERO AMAYA LPN
Provider Business Mailing Address
First Line : 1377 5TH AVE
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-4131
Country : US
Telephone Number : 631-758-7003
Fax Number :
Provider Business Practice Location Address
First Line : 1377 5TH AVE
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-4131
Country : US
Telephone Number : 631-336-7327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2024
Last Update Date : 08/04/2025

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